KELLI JOAN MANIKOWSKI DO, MS
NPI 1245935634
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Kelli Manikowski's NPI number?

The NPI number for Kelli Manikowski is 1245935634. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Kelli Manikowski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Manikowski was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2023PECOS Enrolled

355 W 16TH ST STE 4700, INDIANAPOLIS, IN 46202(317) 963-7408 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelli Joan Manikowski Do, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI JOAN MANIKOWSKI DO, MS (NPI 1245935634) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245935634

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLI JOAN MANIKOWSKICredential: DO, MS

Location Address355 W 16TH ST STE 4700Indianapolis, IN 46202-2285

Mailing Address355 W 16th St Ste 4700Indianapolis, IN 46202-2285 · (317) 963-7408

Phone(317) 963-7408

Sole ProprietorNo

Enumeration DateApril 4, 2023

NPPES CertifiedApril 4, 2023

✔ NPI 1245935634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

355 W 16TH ST STE 4700, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Joan Manikowski Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS PATRICK HENTHORN MD

Student in an Organized Health Care Education/Training Program